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Tight foreskin (phimosis or paraphimosis)

Also called: Phimosis, paraphimosis, tight foreskin, foreskin stuck

A foreskin too tight to pull back (phimosis), or stuck behind the head (paraphimosis, an emergency).

Normal inBoys under 5
EmergencyForeskin stuck behind the head

Overview

Phimosis means the foreskin can't be pulled back. It's normal in young boys and loosens with time.

Paraphimosis means the foreskin is stuck behind the head and swelling, which is an emergency.

Symptoms

Common signs:

  • Tight foreskin

Less common

  • Ballooning when peeing
  • Pain with erections

When to get medical care

Call 911Foreskin stuck behind the head with swelling.
Get care todayCan't pee.
See a doctor soonTight foreskin in an older child or adult.

Causes

Normal, scarring.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Uncircumcised

Possible complications

Diagnosis

A clinician examines.

Treatment

Don't force it.

Self-care

  • Gentle washing
  • Never force the foreskin back
  • Always return the foreskin after cleaning or catheter use

Medicines

Medicines that may help:

MedicineHelps withGood to know
Steroid cream
Phimosis

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

  • Gentle hygiene

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a urologist (urinary tract doctor).

Children, pregnancy, and older adults

  • Boys: Most foreskins loosen by age 5 to 10.

Outlook

Treatable.

Steroid cream works for most; circumcision if needed.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Will a steroid cream help?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Tight foreskin (phimosis or paraphimosis)

Sources

Last updated 2026-11-12.